부산대학교 도서관

Traumatic abdominal aortic injury is rare and has a high mortality rate, which makes its prompt diagnosis and treatment crucial. Patients presenting with bleeding are managed surgically, whereas those with stable vital signs are managed conservatively. Our hospital has a hybrid emergency room (ER), equipped with a computed tomography (CT) scanner, fluoroscope, and an operating theater allowing for emergent resuscitation, diagnosis, and treatment of patients in one location. We present a case of a man in his 70s who was admitted to our hybrid ER. He was in shock after a road-traffic accident. CT revealed an abdominal aortic injury with extravasation. We performed resuscitative endovascular balloon occlusion of the aorta from the femoral artery to Zone 3. Subsequently, coiling and stent grafts from bilateral femoral arteries were placed to stop bleeding and save the patient. This report highlights the usefulness of a hybrid ER system in managing a patient with traumatic abdominal aortic injury.